Provider Demographics
NPI:1275152878
Name:HEU, TCUA MINDY
Entity Type:Individual
Prefix:
First Name:TCUA
Middle Name:MINDY
Last Name:HEU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15612 E 96TH WAY UNIT 24H
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9003
Mailing Address - Country:US
Mailing Address - Phone:720-818-0835
Mailing Address - Fax:
Practice Address - Street 1:15612 E 96TH WAY UNIT 24H
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-9003
Practice Address - Country:US
Practice Address - Phone:720-818-0835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099264871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical